LSI

Question 1

What are the seven steps of the LSI?

Answer 1

Isolate a place and time to talk
Explorer the young person’s point of view
Summarize the feelings and content
Connect triggered to feelings to behavior
Alternative behavior discussed
Plan developed and practiced
Enter young person back into programming 

Question 2

When exploring the young persons point of view, what else should you consider?

Answer 2

Reflective responses are part of active listening
Child should do most of the talking
Consider examples of reflective and empathic responses 

Question 3

When summarizing feelings and content, what should you consider?

Answer 3

Staff is doing most of the talking
Can go back to the explore phase as needed

Question 4

Who should decide which alternative behaviors should be used next time?

Answer 4

The patient

Question 5

What are pain-based responses during the LSI and how should you respond?

Answer 5

If the child does not respond, use silence, reflective, or empathic statements, or ask for concrete information, ask if they need more time, set a time to talk again in another 30 minutes
If a child gets off subject, listen, and relate back to the incident or return to the conversation
If developing a plan prematurely, be patient and allow the child to talk at their pace 

Question 6

What are the components of the individual crisis support plan?

Answer 6

Pre-crisis
Triggering (affect, PRNs, de-escalation techniques)
Outbursts
Contraindications